| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $138.04 | $138.04 | |
Aetna
| Professional | $95.50 | $114.82 | $223.87 | |
BCBS
| Professional | $169.82 | $213.80 | $436.52 | |
Cigna
| Facility | $275.42 | $275.42 | $275.42 | |
Cigna
| Professional | $57.54 | $64.57 | $295.12 | |
United
| Facility | $138.04 | $138.04 | $138.04 | |
United
| Professional | $57.54 | $57.54 | $138.04 |